Blake A Booth, MD

NPI #1194915249 in Oxford, Mississippi

Provider Information

NPI Number: 1194915249
Entity Type: Individual
Name: Blake A Booth, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Ophthalmology
Credential: MD
Enumeration Date: Jul 25, 2007
Last Updated: Aug 8, 2011

Practice Location

Address: 1308 BELK BLVD
City: Oxford
State: Mississippi
ZIP Code: 38655-5302
Phone: (662) 234-6551

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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